Caption: MODEL RELEASED. Skin cancer. Squamous cell carcinoma on a 86 year old woman's genitals. Squamous cells are flat scale-like cells in the upper layers of the skin. Squamous cell carcinoma is the second most common type of skin cancer. It mostly affects the elderly. Treatment is with surgical removal of the tumour, combined with radiation therapy and chemotherapy. This is a recurrent tumour from a previous squamous cell carcinoma in the vulva, which the patient had surgically removed in a vulvectomy 20 years ago.